Organization
PEARL EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MURPHY (EXECUTIVE VICE PRESIDENT, EPP)
(800) 362-2731
Entity
Organization
Contact information
Practice address
102 E CULVER RD, KNOX, IN 46534-2216
(574) 772-6231
Mailing address
PO BOX 8349, PHILADELPHIA, PA 19101-8349
(800) 355-3818
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218446
BLUE SHIELD
IN
Enumeration date
05/09/2006
Last updated
04/20/2008
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